Organization
MILLENNIUM REHAB & CONSULTING, INC.
Active
Other names
Millennium Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY LITTLE (COO)
(515) 331-3190
Entity
Organization
Contact information
Practice address
22 N 27TH ST, FORT DODGE, IA 50501-4331
(515) 955-6922
Mailing address
4725 MERLE HAY RD STE 207, DES MOINES, IA 50322-1983
(515) 331-3190
(515) 331-3191
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
00441
IA
225100000X
Physical Therapist
02594
IA
225100000X
Physical Therapist
02666
IA
225100000X
Physical Therapist
028929
IA
225100000X
Physical Therapist
03694
IA
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
00881
IA
225X00000X
Occupational Therapist
00637
IA
225X00000X
Occupational Therapist
01372
IA
225X00000X
Occupational Therapist
01548
IA
225X00000X
Occupational Therapist
01616
IA
235Z00000X
Speech-Language Pathologist
01436
IA
261Q00000X
Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0665745
—
IA
01
—
66574
WELLMARK BC/BS GROUP #
IA
Enumeration date
05/20/2006
Last updated
05/28/2025
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